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6.
Place the center of the balloon "target" over the arteriotomy (location where the sheath entered the artery, approximately
1-2mm proximal to the skin puncture site) (FIGURE 3).
7.
Fasten band #1 and #2 tightly around the wrist, then wrap band #3 around the saddle of the thumb without any slack
(FIGURE 4).
NOTE: If the sheath is in the way of securing band section #3, then band section #3 may be secured after removal of
sheath.
8.
Fill the syringe (included) with 10mL of air.
NOTE: Maximum balloon fill volume: 10mL
9.
Engage the syringe into the valve on the top of the device by inserting the syringe tip into the valve and rotating ¼ turn
clockwise.
10. Slowly inflate the balloon with air while simultaneously removing the sheath. Once the sheath is completely removed,
continue to inject air into the balloon until bleeding has stopped.
NOTE: While inflating, maintain pressure on syringe plunger to avoid any inadvertent release of air.
11. Adjust air volume in balloon to achieve hemostasis. If bleeding or hematoma are present, additional air may be injected
until bleeding stops.
12. Remove the syringe.
NOTE: The patient should be able to move their hand/wrist freely without any bleeding. If desired, ask the patient
to move their hand and wrist and check the site for any bleeding. If bleeding is observed, inject additional air (not
exceeding the max fill volume of 10mL) until bleeding stops.
NOTE: If bleeding is observed at any time, inject additional air (not exceeding the max fill volume of 10mL) until bleeding
stops.
NOTE: Keep included syringe accessible for device deflation and removal.
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